Effectiveness of prehospital synchronous direct-current cardioversion for supraventricular tachyarrhythmias causing unstable hemodynamic states

Roth, Arie; Elkayam, Ilana; Shapira, Itzhak; Sander, Judith; Malov, Nomi; Kehati, Mayera; Golovner, Michal

doi:10.1016/s0002-9149(02)03257-5

Cited by 47 publications

(40 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…2,7-11 However, no study has quantified optimum Joules settings for SVT patients. [13][14][15] As all employed a monophasic waveform, none provides evidence of biphasic waveform effectiveness. 12 Also, no study has identified the optimum electrode placement.…”

Section: Discussionmentioning

confidence: 99%

Prehospital Synchronized Electrical Cardioversion of a Poorly Perfused SVT Patient by Paramedics

Smith

Taylor

Morgans

et al. 2013

Prehosp. Disaster med.

View full text Add to dashboard Cite

Synchronized Direct Current Cardioversion (SDC) is an established therapy for the termination of supraventricular tachycardia (SVT - either atrio-ventricular nodal reentry tachycardia (AVNRT) or atrio-ventricular reentrant tachycardia (AVRT)) with poor perfusion. The evidence is extremely limited with regard to the safety and effectiveness of this therapy. In Australia, half of the eight ambulance services include SDC within their clinical practice guidelines for the management of poorly perfused SVT; however the degree of variation in the application of SDC across these guidelines suggests a need to quantify the practice. This case provides a previously unreported example of the safety and effectiveness of prehospital SDC for SVT (with poor perfusion precipitated by a Valsalva Maneuver) by Victorian paramedics, and discusses the available literature regarding the effectiveness and safety of this practice.

show abstract

Section: Discussionmentioning

confidence: 99%

Prehospital Synchronized Electrical Cardioversion of a Poorly Perfused SVT Patient by Paramedics

Smith

Taylor

Morgans

et al. 2013

Prehosp. Disaster med.

View full text Add to dashboard Cite

show abstract

“…This service has been described in detail elsewhere. [11][12][13][14][15][16] Briefly, it operates 24 hours a day, 365 days a year, through a call center managed by a medical staff. Each subscriber's complete medical file (which also includes a full 12-lead electrocardiogram) is stored in the medical call center's information technologies system and the details on numerous parameters are continuously updated.…”

Section: "Shl"mentioning

confidence: 99%

Telemedicine for Post-Myocardial Infarction Patients: An Observational Study

Roth

Malov²,

Steinberg

et al. 2009

Telemedicine and e-Health

Self Cite

View full text Add to dashboard Cite

"SHL" Telemedicine (established 1987 in Israel) provides professional care to subscribers who use cardiobeepers and contact its medical call center via telecommunication networks. The extended 6-month Acute Coronary Syndrome Israel Survey (ACSIS) 2004 involved all 26 intensive cardiac care units in Israeli hospitals. We compared the 1-year survival rates of the "SHL" Telemedicine subscribers and ACSIS participants who survived hospitalization after sustaining an acute myocardial infarction. The myocardial infarction data for the ACSIS cohort (3,899 patients) and the SHL Telemedicine cohort (699 subscribers) were provided for this study by the ACSIS executive and SHL's files, respectively. One-year mortality was ascertained by telephone contacts with patients or their relatives. Mortality at 1 year was 4.4% for the "SHL" patients and 9.7% for the ACSIS patients (p < 0.0001). The "SHL" cohort was significantly older (p < 0.0001) than the ACSIS cohort (mean age [+/-SD] 69 +/- 11 versus 63 +/- 13 years), had significantly more past myocardial infarctions (p < 0.001), more past strokes (p < 0.0032), more heart failure (p < 0.0001), more hypertension (p = 0.002), and more hyperlipidemia (p < 0.0001). Gender distribution and diabetes status were similar for both groups. In spite of having more risk factors than the ACSIS subjects, the "SHL" Telemedicine subscribers had significantly higher survival rates at 1 year compared to the ACSIS patients, whose outcome is consistent with that of the Western world. Availability of medical call centers in the out-of-hospital setting for patients with suspected cardiac symptoms improves their motivation to seek timely and appropriate medical assistance.

show abstract

“…Oral digoxin or amiodarone may be reasonable for ongoing treatment of AVNRT in patients who are not candidates for, or prefer not to undergo, catheter ablation. 50,67 e484 Circulation…”

Section: Iib B-rmentioning

confidence: 99%

2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia: Executive Summary

Page¹,

Joglar²,

Caldwell³

et al. 2016

Circulation

View full text Add to dashboard Cite

Effectiveness of prehospital synchronous direct-current cardioversion for supraventricular tachyarrhythmias causing unstable hemodynamic states

Cited by 47 publications

References 8 publications

Prehospital Synchronized Electrical Cardioversion of a Poorly Perfused SVT Patient by Paramedics

Prehospital Synchronized Electrical Cardioversion of a Poorly Perfused SVT Patient by Paramedics

Telemedicine for Post-Myocardial Infarction Patients: An Observational Study

2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia: Executive Summary

Contact Info

Product

Resources

About